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Many cases of a retained instrument originally reported a correct sponge count when the patient was released.
However a study done in 2008 reported to the Annals of Surgery that mistakes in tool and sponge counts happened in 12.5% of surgeries.
You're doing a hundred other things at the same time, and as much as you try to keep your attention on it [sponge counts] if the surgeon needs something, it's easy to get distracted."
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